Ludwig angina

Case contributed by Andrew Dixon
Diagnosis probable

Presentation

Neck swelling several days of post tooth extraction.

Patient Data

Age: 65 years
Gender: Male

CT Neck - 4 days later

ct

Edema centered within the right submandibular space and base of the tongue with adjacent subcutaneous fat stranding has increased substantially with significant mass effect with effacement of the right side of the oropharynx. Nasogastric tube and tracheostomy have been introduced.

Case Discussion

Appearance is consistent with Ludwig angina (submandibular space infection) of odontogenic origin.

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